Organization
PEDITHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. M. CRISTINA GODIN OTR (OWNER)
(954) 385-3456
Entity
Organization
Contact information
Practice address
4155 NW 64TH AVE, CORAL SPRINGS, FL 33067-3043
(954) 385-3456
(954) 616-1315
Mailing address
1605 TOWN CENTER BLVD SUITE A, WESTON, FL 33326-3637
(954) 385-3456
(954) 626-1315
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1331
FL
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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